Addiction medicine physician Dr. Lipi Roy joins Neil Smith and Vic Morren for critical discussion on gambling crisis in professional sports. From NBA betting scandals (Chauncey Billups, Terry Rozier, Damon Jones arrested, Jontay Porter permanently banned) to NCAA allowing athletes bet on pro sports despite Fresno State basketball conspiracy, hear comprehensive analysis of behavioral addiction science. Dr. Roy explains dopamine triggers, why competitive Type A athletes are high-risk, how male brain doesn't fully develop until 25, prop bet dangers enabling fixes, Swedish study showing 15x suicide rate for gambling disorder, American Heart Association research linking problematic gambling to 50% arterio sclerosis rates, and profound shame leading to depression. Plus treatment options including medications (not FDA approved yet) and cognitive behavioral therapy, why NHL Player Assistance Program needs separate gambling category, 2018 Supreme Court ruling allowing $120 billion legally wagered 2023, 10-year-old kids seeing DraftKings FanDuel ads at Madison Square Garden normalizing behavior, and why regulation matters when genie can't go back in bottle. Toronto-born hockey fan since age 9 combines medical expertise with deep sport understanding.

IN THIS EPISODE:

[00:00] - Welcome: Pro Sports Self-Inflicted Problem with Dr. Lipi Roy Encore Episode

[01:00] - October 23 NBA rocked: Chauncey Billups, Terry Rozier, Damon Jones arrested

[02:00] - Rigged poker games: connections organized crime, insider betting schemes

[03:00] - Jontay Porter: Toronto Raptors forward permanently banned from NBA

[04:00] - Betting scandals over century: 1919 Black Sox throwing World Series

[05:00] - Pete Rose: Cleveland Guardians Luis Ortiz, Emmanuel Clase under suspicion

[06:00] - Throwing intentional balls: first pitches of innings since middle of summer

[07:00] - Basketball 1951 point shaving: CCNY, NBA referee Tim Donaghy 2007

[08:00] - Football several players suspended: violating NFL gambling policy recent years

[09:00] - Hockey two years ago: Shane Pinto suspended 41 games

[10:00] - Friends bet for him US while in Canada: claims did not wager NHL games

[11:00] - Gambling and addiction: problem continues to fester in society

[12:00] - Major leagues in bed with casinos: only matter of time

[13:00] - Young people drawn into gambling: knowing much more than I will

[14:00] - Dr. Lipi Roy: addiction medicine physician, international speaker

[15:00] - National media medical commentator: MSNBC, NBC News, CNN, News Nation

[16:00] - Forbes contributor: founder CDA Med health speaking company

[17:00] - Host YouTube show: Health, Humor and Harmony, Health Hockey and Leadership

[18:00] - Hockey and Mental Health gala: met in New York City

[19:00] - Diehard hockey fan since 9 years old: born and raised Toronto like Neil

[20:00] - Later years studied medicine: lucky to be physician, addiction medicine specialty

[21:00] - Addiction like heart disease: can affect absolutely anybody

[22:00] - Not moral feeling: sports betting form of gambling on rise

[23:00] - All sports pro leads: hockey not any different, clearly health consequences

[24:00] - Can be really serious problematic issue

[25:00] - Gambling addiction: brain gets addicted to, not something you ingest

[26:00] - Adrenaline from gambling: what happens in brain?

[27:00] - Glad you brought B word: brain most complex machine known to humankind

[28:00] - Explain to patients and public: how I kind of explain it

[29:00] - Think of addiction: think drugs, alcohol, cocaine, heroin

[30:00] - Substance use disorders: drug alcohol addictions true

[31:00] - Another type category: behavioral addictions

[32:00] - Gambling, gaming, pornography: work, social media, devices, food

[33:00] - Behaviors: still falls under big umbrella diagnosis addiction

[34:00] - Any type substance use or behavior: causes compulsive consumption

[35:00] - Effect adversely impairs day-to-day function

[36:00] - Joke about addicted chocolate: not really addicted

[37:00] - Not consuming chocolate cake tiramisu: unable to go work, pay bills

[38:00] - Good friendships and relationships: addiction behavior harming day-to-day

[39:00] - Gambling most US Canadian adults do: no harm, enjoy and move on

[40:00] - Similar alcohol: most people drink glass wine or beer, not problem

[41:00] - Small minority with risk factors: go on develop addiction

[42:00] - Undeveloped brain: male brain doesn't fully develop until around 25

[43:00] - Gambling allowed 18 and above: harder thing with younger people?

[44:00] - Great question: expand how brain is involved

[45:00] - Addiction chronic disease of brain: addictive substance or behavior

[46:00] - Affects parts brain: control decision-making, cravings, habits

[47:00] - Basal ganglia: emotions, irritability, amygdala primitive part of brain

[48:00] - Executive function: prefrontal cortex, clearly impairment of brain

[49:00] - Brain disease: chronic condition, no one's addicted just one day

[50:00] - Good news treatment available: we'll talk about that

[51:00] - Studies showing: gambling addictions affects more men than women, far more

[52:00] - Sports betting: trend again mostly men, lot research happening

[53:00] - Need far more research: age very key

[54:00] - Addiction world advise: parents young children and teenagers

[55:00] - Wait till maybe at least 16 onwards: before experiment

[56:00] - Young kids preteens: experimenting with weed, drink alcohol

[57:00] - If can wait till late bit later: reason brain still developing

[58:00] - Neuronal connections: very vulnerable time

[59:00] - Studies very clear: younger you start, more likely higher risk

[01:00:00] - Develop harmful use: addiction later in life

[01:01:00] - Addiction to gambling associated: other addictions including substance use

[01:02:00] - Increased rates drinking, smoking

[01:03:00] - Saturday NCAA permits athletes bet pro sports: despite their own issues

[01:04:00] - September 10 three Fresno State basketball players: conspiring gambling scheme

[01:05:00] - NCAA acknowledges problem: allow athletes bet pro sports

[01:06:00] - Speaking out both sides of mouth

[01:07:00] - 2024 gambling trends: traditional gambling casino, internet unlimited

[01:08:00] - Sports betting exploding: now legal well over 38 states

[01:09:00] - 20 years ago: legally bet sports, go Atlantic City or Las Vegas

[01:10:00] - Now don't get off sofa: mobile technology and legal changes

[01:11:00] - 2018 Supreme Court ruling: allowed sports betting

[01:12:00] - American Gambling Association: $120 billion legally wagered sports 2023

[01:13:00] - Pointing out obvious: sports betting deeply embedded in culture

[01:14:00] - Every commercial broadcast sponsorship: live game, social media feeds

[01:15:00] - Pro athletes promoting advertising: betting companies

[01:16:00] - NCAA these athletes: teenagers right, young people

[01:17:00] - Brain more developed than 10-year-old: haven't fully, so much pressure

[01:18:00] - Very unique stressful time: spikes certain mental illness bipolar, schizophrenia

[01:19:00] - Allowed sports betting: gambling, addictive behavior

[01:20:00] - Doctor addiction medicine: find that deeply concerning

[01:21:00] - Permit athletes bet pro sports college: percentage become pros

[01:22:00] - No way given addiction: turn switch off, bigger problem sports leagues

[01:23:00] - Don't wanna alarm people: most adults gambled without problems

[01:24:00] - Don't wanna over-pathologize: enjoyable activity

[01:25:00] - Sports betting deeply embedded: 10-year-old kids Madison Square Garden

[01:26:00] - United Center Chicago, TD Garden Boston: large arenas

[01:27:00] - Massive ads: billboards screens, DraftKings FanDuel

[01:28:00] - What's more normalized: young children going basketball games, NCAA games

[01:29:00] - Really concerning: young kids 18-year-old NCAA, call 19 17 20 21 22

[01:30:00] - Already being normalized: going into DNA at pretty young age

[01:31:00] - Hit pros: see money, wanna talk another addiction and pressure

[01:32:00] - Goes back to brain: gambling triggers dopamine release

[01:33:00] - Patients first hit heroin: first drink, tobacco

[01:34:00] - Addictive substances and behaviors: release dopamine pleasure neurotransmitter

[01:35:00] - Once get that hit: brain wants more and more

[01:36:00] - Not pathologize: most people sports betting not problem until becomes one

[01:37:00] - If pro sports NCAA: introduce and allow clearly addictive behavior

[01:38:00] - Need other measures in place: make sure doesn't become problematic

[01:39:00] - Identify at-risk behavior: know signs and symptoms

[01:40:00] - Get ahead of it: before becomes major problem

[01:41:00] - When does: will for certain some people, tools in place

[01:42:00] - Evidence-based treatment and care

[01:43:00] - Prop bets: seeing fixes, NBA case last year

[01:44:00] - Player pulled out after two minutes: said sick or injured

[01:45:00] - Bunch buddies bet under: flagged, bets nullified

[01:46:00] - Prop bets micro bets: mentioned Cleveland Guardians pitchers

[01:47:00] - Larger problems: singular plays, singular events within game

[01:48:00] - Easy to bet on: also easy to fix

[01:49:00] - Ease what's really concerning: supply side analogy

[01:50:00] - Parents public elected officials concerned: too much drugs in community

[01:51:00] - Analogy applies gambling and sports betting: make something so accessible

[01:52:00] - Devices social media addiction: now imagine amplifying addictions

[01:53:00] - Use one addictive tool: attain another potential addictive behavior

[01:54:00] - Don't have to get up: people with gambling addiction have other health problems

[01:55:00] - Studies showing: poor diet, heart disease

[01:56:00] - American Heart Association study: three years, 10,000 people aged over 50

[01:57:00] - Problematic gambling: over 50% arterio sclerosis

[01:58:00] - Plaques blood vessels: leading to heart, arteries

[01:59:00] - Over 50% developed heart disease: people over 50, need studies younger people

[02:00:00] - Physical health problems: bad diet, bad exercise, heart disease, stress

[02:01:00] - Hypertension and other problems: mental health problems

[02:02:00] - Increased risk: depression, anxiety, suicidality

[02:03:00] - Swedish study: gambling addiction 15 times rate suicide general population

[02:04:00] - Paint picture: gambling, have problem, don't talk about it

[02:05:00] - Don't talk to wives, sisters, parents, colleagues: gambling quietly silently

[02:06:00] - Discovered when blows out of proportion: gambled off grandmother's jewelry

[02:07:00] - Best suits, mortgage: have to tell spouse, siblings, parents, lost everything

[02:08:00] - Profound shame and guilt: depressed, stressed, probably drinking

[02:09:00] - Don't happen in silo: so depressed, become suicidal

[02:10:00] - Can see this becoming major problem

[02:11:00] - NHL players: gambling component to mindset

[02:12:00] - Nevermind sports betting: just meaning take gamble

[02:13:00] - Commercial flights before charters: players bet with each other anything

[02:14:00] - Whose luggage comes out first: bag came out first won pot

[02:15:00] - Dollar bill on string: waiting for plane, see who next guy tries pick up

[02:16:00] - Bet with each other: so competitive entire life

[02:17:00] - Trophies in life: not just Stanley Cup, car Lamborghini

[02:18:00] - Biggest fastest nicest car: biggest house, nicest stereo system

[02:19:00] - Goes into relationships: trophy wives heard term before

[02:20:00] - Think gonna stop competitiveness: because you met him?

[02:21:00] - No more challenging: get next best whatever

[02:22:00] - Matter of time: with competitiveness, some not all, not many

[02:23:00] - Matter of time before brain: wants to go down gambling road

[02:24:00] - Make money for them or friends

[02:25:00] - Keyword: betting whose luggage come up first, competitive

[02:26:00] - Competition: something I can relate to, physician

[02:27:00] - Hockey my sport: diehard fan since 9, not pro athlete

[02:28:00] - Talked about speech: Hockey and Mental Health gala

[02:29:00] - Common traits: doctors and pro athletes, specifically hockey players

[02:30:00] - Type A people: competitive, may not be pro athlete

[02:31:00] - Typical Type A competitive doctor: mindset served me well

[02:32:00] - Four degrees: trained Duke, taught Harvard, done okay with life

[02:33:00] - Pro athletes gifted physically and mentally: competitive attitude mindset

[02:34:00] - Served them well: downside though

[02:35:00] - Distinguish who develop problem: competitive streak, sense of accomplishment

[02:36:00] - Dopamine high euphoria: not in check, can become problematic

[02:37:00] - Built to be competitive: win, get next award

[02:38:00] - Behavior drives achieve and succeed: for most part good thing until it's not

[02:39:00] - Addiction or addictive behaviors: can happen to anybody

[02:40:00] - Not moral failing or weakness: can happen Neil, Vic, can happen me

[02:41:00] - Dr. Lipi Roy: patients have law degrees, PhDs

[02:42:00] - Indian, Chinese, white: all walks of life

[02:43:00] - Like heart disease, lupus, cancer: addiction can affect anybody

[02:44:00] - Typically some type trauma stress: can increase one's risk

[02:45:00] - Grief, loss: behaviors of life experiences common and universal

[02:46:00] - Right circumstances: trauma repeated, happens young age

[02:47:00] - No support treatment medications therapy: trauma ongoing, genetics

[02:48:00] - Risk factors: predict why some develop addiction and others don't

[02:49:00] - Can happen anyone any time: certain risk factors

[02:50:00] - Important for hockey players: good sense of community

[02:51:00] - See problematic behaviors: themselves, teammates, friends, coaches, colleagues

[02:52:00] - Need to talk about it: glad we're talking in this podcast

[02:53:00] - Doctor and hockey fan: care deeply about people in general

[02:54:00] - Patients, family, everybody: care deeply about hockey, hockey players

[02:55:00] - Glad having conversation: reduce stigma associated all types addiction

[02:56:00] - Chance get genie back in bottle: sports, particularly NHL

[02:57:00] - Already given advice: if see something do something

[02:58:00] - Somehow get cow back in barn

[02:59:00] - Sports betting and pro sports: ship has sailed

[03:00:00] - Money, language is money: money talks

[03:01:00] - Seeing massive profits: all about making money and profits

[03:02:00] - Need regulation: that's what key is

[03:03:00] - Decision makers top levels: if genuinely care about players

[03:04:00] - NHL league follow most closely: care about players and fans

[03:05:00] - Need regulations: rules in place, evidence-based care and treatment models

[03:06:00] - Support systems in place as well

[03:07:00] - Player's Assistance Program: whole assortment of health issues

[03:08:00] - Needs to include: separate category addressing gambling addiction

[03:09:00] - Sports betting addiction: positive person, science hockey nerd

[03:10:00] - Medical nerd: believe in positivity, ending on positive note

[03:11:00] - Good news help available: need understand and recognize signs and symptoms

[03:12:00] - Problematic gambling: person can't stop, constantly chasing

[03:13:00] - Constantly preoccupied: gambling when distressed, lying about gambling

[03:14:00] - Lost opportunities: seeing signs symptoms get help

[03:15:00] - Medications available: not FDA approved yet

[03:16:00] - Psychotherapy: cognitive behavioral therapy CBT

[03:17:00] - Gamblers Anonymous: 1-800-GAMBLER, intense outpatient resident programs

[03:18:00] - Help is available: genie out of bottle

[03:19:00] - Opportunity make difference: if care about players, take action

[03:20:00] - Action is available

[03:21:00] - Follow or contact: love talking about health and medicine, hockey

[03:22:00] - Merging two: reach me Instagram @LipiRoyMD

[03:23:00] - TikTok @LipiRoyMD: Twitter X @LipiRoy

[03:24:00] - YouTube health show subscribe: posting videos

[03:25:00] - On air News Nation, CNN: write Forbes articles

[03:26:00] - SITAMED company: S-I-T-A-M-E-D LLC.com

[03:27:00] - Could go on two hours: find intriguing, just lucky

[03:28:00] - Get on lot good guests: famous people, Hockey Hall of Fame edition

[03:29:00] - Scotty Bowman: won 14 Stanley Cups

[03:30:00] - Have you on honor: hope people listen, get information, get help

[03:31:00] - Known people addictions: agree, one can lead to other

[03:32:00] - Alcohol, drug, gambling: all rolled into one

[03:33:00] - Call it addictive personality: explained so well, thankful

[03:34:00] - Hope NHL Wraparound: help some people out there, get help because your advice

[03:35:00] - Hockey nerd and medical nerd: been around NHL so long

[03:36:00] - Lot health issues: affect hockey players

[03:37:00] - Talked about in speech: love health and medicine, get people better

[03:38:00] - Love hockey: addiction still misunderstood, misdiagnosed, undertreated

[03:39:00] - Help is available: we'll make it happen

[03:40:00] - Thank you having me: had great time

[03:41:00] - Hard to overstate importance: discussion just had

[03:42:00] - Gambling and addiction today: unfortunately where it's headed

[03:43:00] - Not headed good place: gave outlines things can do

[03:44:00] - Society now speaking: where it's headed

[03:45:00] - Never get genie back in bottle: if leagues continue allow sports betting

[03:46:00] - Participate in sports betting: all we can do be on guard

[03:47:00] - Those around us: look for signs somebody developing problem

[03:48:00] - Extraordinary guest: some point do show head trauma

[03:49:00] - Welcome Dr. Roy back: for sure

X: https://twitter.com/NHLWraparound

Neil Smith: https://twitter.com/NYCNeil

Vic Morren: https://www.linkedin.com/in/vic-morren-7038737/

NHL Wraparound Instagram: https://www.instagram.com/nhlwraparound/

#NHLWraparound #DrLipiRoy #GamblingAddiction #SportsBetting #AddictionMedicine #NHL #BehavioralAddiction #DopamineTriggers #PlayerAssistanceProgram #PAP #PropBets #NCAA #JontayPorter #ShanePinto #ChaunceyBillups #TerryRozier #DamonJones #1919BlackSox #PeteRose #TimDonaghy #Basal Ganglia #Amygdala #PrefrontalCortex #TypeAPersonality...